Individual provider Active NPI

James Monroe Watkins, M.D.

  • Surgery Physician
  • Campbellsville, KY
National Provider Identifier
1467438945
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29739 Issued in KY
Practice address
1698 Old Lebanon Rd
Suite 2a
Campbellsville, KY 42718-9662
Phone
(270) 465-2821
Fax
(270) 789-1756
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29739 KY Primary

Addresses

Primary practice location

1698 Old Lebanon Rd
Suite 2a
Campbellsville, KY 42718-9662

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone (270) 465-2821

Other identifiers 1

IdentifierTypeStateIssuer
64297393MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000462 KY Practitioner - General Surgery 5698797827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

1698 Old Lebanon Rd
Campbellsville, KY 42718-9662

1700 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone (270) 789-6116

3066 Campbellsville Rd
Columbia, KY 42728-9511
Phone (270) 789-0587

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Pacemaker insertion or repair11
Upper gastrointestinal (GI) endoscopy for acid reflux30
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29739KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Nov 1, 2005 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group CurrentSince Nov 1, 2005 Accepting new patients
University Surgical Associates, PSC Surgery Past Accepting new patients
Taylor Regional Medical Group Past Accepting new patients

Locations

1698 Old Lebanon Rd
Ste 2A
Campbellsville, KY 42718
Phone (270) 465-2821

105B Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 465-0632

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1467438945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-465-2821",
            "fax_number": "270-789-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "address_2": "SUITE 2A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-465-2821",
            "fax_number": "270-789-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JAMES",
        "middle_name": "MONROE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "29739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64297393",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.